NPIMap

Organization Active NPI

Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Tewksbury, MA
National Provider Identifier
1447769443
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0820 Issued in MA
Legal business name
CASA ESPERANZA, INC.
Practice address
365 East St
Tewksbury, MA 01876-1950
Phone
(617) 445-1123
Fax
(617) 445-1123
NPI assigned
Sep 22, 2017
Organization subpart
Yes
Parent organization
CASA ESPERANZA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emily Stewart
Title
Executive Director
Phone
(617) 445-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0820 MA Primary

Addresses

Primary practice location

365 East St
Tewksbury, MA 01876-1950

Mailing address

302 Eustis St
Roxbury, MA 02119-3800
Phone (617) 445-1123

Other names 1

  • Casa Esperanza, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2274593Casa Esperanza Conexiones365 East St, Tewksbury, MA 01876Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Casa Esperanza Inc4 organizations share this tax ID, including this one
Part of
Casa Esperanza Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1447769443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EUSTIS ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193800",
            "telephone_number": "617-445-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 EAST ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761950",
            "telephone_number": "617-445-1123",
            "fax_number": "617-445-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA ESPERANZA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASA ESPERANZA, INC.",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-445-1123"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "0820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Esperanza, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.